Evans, James Robert

Evans, James Robert is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Suite 101B, Johnson City TN 37604-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Evans, James Robert can be contacted via phone (423) 929-7393.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 101B Johnson City TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 17930 Tennessee

Profile Details

NPI number 1295724284
LBN Legal business name Evans, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295724284 NPPES
Tennessee MEDICAID Q006764
Tennessee MEDICAID 3052015

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